Individual provider · Type 1 NPI
Patricia A. Wallace, CATC
Addiction (Substance Use Disorder) Counselor · Camarillo, CA
NPI number
1447553300
Active
Practice location
450 Rosewood Ave, SUITE215
Camarillo, CA 93010-5914
Fax (805) 389-5295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 040970 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1447553300
Patricia A. Wallace, CATC's National Provider Identifier is 1447553300, issued on Dec 15, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Camarillo, CA. The record was last updated on Dec 15, 2010.